ATI RN
Skin Integrity and Wound Care NCLEX Questions Questions
Question 1 of 5
How should the nurse respond to Aaron's statement about feeling discouraged?
Correct Answer: C
Rationale: The correct answer is C because it acknowledges Aaron's feelings of discouragement and shows empathy by recognizing the challenges he is facing. By stating that he is trying to cope with a lot of concerns right now, the nurse validates his emotions and offers support. Options A, B, and D are incorrect because they do not address Aaron's feelings or provide emotional support. Option A is dismissive and focuses on correcting Aaron's wording, Option B is directive and does not validate his emotions, and Option D provides false reassurance without addressing his emotional state.
Question 2 of 5
The nurse is caring for a client with gangrene of the toe. Which collaborative intervention should the nurse anticipate preparing the client for?
Correct Answer: A
Rationale: The correct answer is A: Surgery. In the case of gangrene of the toe, surgical intervention is often necessary to remove the dead tissue and prevent further spread of infection. Surgery can involve amputation of the affected toe or foot to save the client's life and prevent complications. Debridement (choice B) is a related procedure but may not be sufficient in severe cases of gangrene. Myringotomy (choice C) is a procedure to relieve pressure or drain fluid from the middle ear, not related to gangrene treatment. Wound irrigation (choice D) is a general wound care procedure and may not address the severity of gangrene effectively.
Question 3 of 5
The nurse is caring for a client who has been diagnosed with orbital cellulitis. Which assessment finding should the nurse anticipate?
Correct Answer: B
Rationale: The correct answer is B: Edema of the affected eye. Orbital cellulitis is characterized by inflammation and infection of the tissues surrounding the eye, leading to swelling and edema. This assessment finding is expected due to the inflammatory response. Sunken eyes (A) are not typically associated with orbital cellulitis. Increased acuity of the affected eye (C) is unlikely as the infection can impair vision. Elevated blood pressure (D) is not a typical assessment finding for orbital cellulitis.
Question 4 of 5
Which term is commonly used by clients to describe conjunctivitis?
Correct Answer: B
Rationale: The correct answer is B: Pink eye. Clients commonly use this term to describe conjunctivitis due to the characteristic pink or red appearance of the eye. Conjunctivitis is an inflammation of the conjunctiva, the thin membrane covering the white part of the eye. A stye (A) is a localized infection in an eyelash follicle, not the same as conjunctivitis. Red eye (C) is a general term for any redness in the eye, not specific to conjunctivitis. Retinitis (D) refers to inflammation of the retina, which is not the same as conjunctivitis.
Question 5 of 5
What should the nurse recommend for a pregnant client who is concerned about a recent flu outbreak?
Correct Answer: A
Rationale: The correct answer is A. The nurse should recommend that the client receive the influenza vaccination because it is safe during pregnancy and helps protect both the mother and the baby from potential complications of the flu. Vaccination is the most effective way to prevent flu infection. Choice B is incorrect because staying home does not provide the same level of protection as vaccination. Choice C is incorrect as amantadine is not recommended during pregnancy due to potential risks to the fetus. Choice D is incorrect as while a healthy diet is important, it is not sufficient to protect against the flu during pregnancy.